Individual
MARY PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 PINEVIEW DR, SUITE H-3, MORGANTOWN, WV 26505-2778
(304) 599-6762
Mailing address
1191 PINEVIEW DR, SUITE H-3, MORGANTOWN, WV 26505-2778
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0088
WV
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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